IBRAHIM FAHDI MD NPI 1588754055

NPI Information

NPI: 1588754055
Provider Name: IBRAHIM FAHDI, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Organization: CARDIOLOGY INTERPRETERS INC

PECOS Registration: Yes

Address:
1681 EAGLE HARBOR PKWY STE 101
FLEMING ISLAND, FL
ZIP 32003
Phone: (904) 644-0092
Get Directions

Ibrahim Fahdi, MD is a cardiovascular disease internal medicine in Fleming Island, FL with 32 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Ibrahim Fahdi, MD NPI is 1588754055. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year:1992

The provider's business location address is:

1681 EAGLE HARBOR PKWY STE 101
FLEMING ISLAND, FL
ZIP 32003
Phone: (904) 644-0092
Fax: (904) 644-0099

The NPI 1588754055 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/13/2006 and was last updated on 7/12/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	ME113759	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1588754055	MEDICAID	ALABAMA
2	006622500	MEDICAID	FLORIDA
3	P00165055	OTHER	ARKANSAS	RAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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